Exercise tolerance, fatigue, mental health, and employment status at 5 and 12 months following COVID-19 illness in a physically trained population.

Failure to recover following severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) may have a profound impact on individuals who participate in high-intensity/volume exercise as part of their occupation/recreation. The aim of this study was to describe the longitudinal cardiopulmonary exercise function, fatigue, and mental health status of military-trained individuals (up to 12-mo postinfection) who feel recovered, and those with persistent symptoms from two acute disease severity groups (hospitalized and community-managed), compared with an age-, sex-, and job role-matched control. Eighty-eight participants underwent cardiopulmonary functional tests at baseline (5 mo following acute illness) and 12 mo; 25 hospitalized with persistent symptoms (hospitalized-symptomatic), 6 hospitalized and recovered (hospitalized-recovered); 28 community-managed with persistent symptoms (community-symptomatic); 12 community-managed, now recovered (community-recovered), and 17 controls.

Cardiopulmonary, Functional, Cognitive and Mental Health Outcomes Post-COVID-19, Across the Range of Severity of Acute Illness, in a Physically Active, Working-Age Population.

Background: The COVID-19 pandemic has led to significant morbidity and mortality, with the former impacting and limiting individuals requiring high physical fitness, including sportspeople and emergency services.

Methods: Observational cohort study of 4 groups: hospitalised, community illness with on-going symptoms (community-symptomatic), community illness now recovered (community-recovered) and comparison. A total of 113 participants (aged 39 ± 9, 86% male) were recruited: hospitalised (n = 35), community-symptomatic (n = 34), community-recovered (n = 18) and comparison (n = 26), approximately five months following acute illness.

Cardiopulmonary exercise testing excludes significant disease in patients recovering from COVID-19.

Objective: Post-COVID-19 syndrome presents a health and economic challenge affecting ~10% of patients recovering from COVID-19. Accurate assessment of patients with post-COVID-19 syndrome is complicated by health anxiety and coincident symptomatic autonomic dysfunction. We sought to determine whether either symptoms or objective cardiopulmonary exercise testing could predict clinically significant findings.

Comprehensive clinical assessment identifies specific neurocognitive deficits in working-age patients with long-COVID.

Introduction: There have been more than 425 million COVID-19 infections worldwide. Post-COVID illness has become a common, disabling complication of this infection. Therefore, it presents a significant challenge to global public health and economic activity.

Rehabilitation post-COVID-19: cross-sectional observations using the Stanford Hall remote assessment tool.

Introduction: The multisystem COVID-19 can cause prolonged symptoms requiring rehabilitation. This study describes the creation of a remote COVID-19 rehabilitation assessment tool to allow timely triage, assessment and management. It hypotheses those with post-COVID-19 syndrome, potentially without laboratory confirmation and irrespective of initial disease severity, will have significant rehabilitation needs.

The Stanford Hall consensus statement for post-COVID-19 rehabilitation.

The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress.

Trauma-related amputations in war and at a civilian major trauma centre-comparison of care, outcome and the challenges ahead.

The Afghanistan conflict has resulted in a large number of service personnel sustaining amputations. Whilst obvious differences exist between military and civilian trauma-related amputations both settings result in life changing injuries. Comparisons offer the potential of advancement and protection of the knowledge gained during the last 12 years.

Antiepileptic prophylaxis following severe traumatic brain injury within a military cohort.

Introduction: Traumatic brain injury increases the risk of both early and late seizures. Antiepileptic prophylaxis reduces early seizures, but their use beyond 1 week does not prevent the development of post-traumatic epilepsy. Furthermore, prolonged prophylaxis exposes patients to side effects of the drugs and has occupational implications.

Predicting follow-up living setting in patients with stroke.

Objective: To examine living setting at 3- to 6-month follow-up for inpatients with functional impairments discharged from medical rehabilitation.

Design: Retrospective performed by using information from the Uniform Data System for Medical Rehabilitation (UDSMR) representing medical rehabilitation patients across the United States.

Setting: National survey data.

Effect of fetal movement, ultrasound scans, and amniocentesis on maternal-fetal attachment.

The effects of fetal movement, ultrasound scans, and amniocentesis on maternal-fetal attachment and perception of fetal development in normal pregnancy were examined in 91 women during the second trimester. Women who reported feeling fetal movement early in pregnancy had higher maternal-fetal attachment scores and higher perception of fetal development scores. Ultrasound scans had no effect on either variable.

Social support as a factor in the development of parents' attachment to their unborn.

Two studies are discussed which have investigated the association between aspects of social support and parents' attachment to their unborn children. The first study involved interviews of 30 women in the third trimester of pregnancy and utilized a broad conceptualization of social support measured by a questionnaire developed for the study. Overall social support was positively associated with the woman's attachment to her fetus; support from health care professionals was more highly correlated with attachment (.

Perinatal risk.

Genetic inheritance, the embryonic-fetal environment, and the family and social milieu are factors that may place the fetus-newborn at an increased risk for premature birth, congenital malformations, or neonatal illness. Knowledge of these factors is crucial to providing optimum nursing care to newborns. These factors are discussed in detail, and appropriate nursing assessments and interventions are reviewed.

An exploration of paternal-fetal attachment behavior.

A 63-item questionnaire utilizing the modified Maternal-Fetal Attachment Scale (PFA) (Cranley, 1981), the Marital Relationship Scale (Wapner, 1976), and the Physical History Scale (Wapner, 1976) was tested on 100 expectant fathers who had wives in their third trimester of pregnancy. Scores on the PFA were positively correlated with the strength of the marital relationship as perceived by the expectant father during pregnancy. A positive but weak association was shown between paternal-fetal attachment and the incidence of physical symptoms resembling pregnancy in the expectant father.

Women's perceptions of vaginal and cesarean deliveries.

Three groups of women were compared to determine their perceptions of giving birth and the relationships between those perceptions and their degree of participation in decision making, the type of anesthesia for delivery, and the presence of their husbands at the births. Forty women had vaginal deliveries; 39 had emergency cesareans, and 43 had planned cesareans. All the women were interviewed and completed self-administered questionnaires two to four days after delivery.

Development of a tool for the measurement of maternal attachment during pregnancy.

A 24-item scale with five subscales was developed to measure the construct of maternal-fetal attachment during pregnancy and tested on 71 subjects in the third trimester of pregnancy. Content validity was built into the scale. A coefficient of reliability of .